Carolina Healthcare Associates INC
Carolina Healthcare Associates INC was paid $2.62M by Medicaid between Jan 2018 and May 2021, across 26 billing codes. Its largest line is 76819, Fetal biophysical profile; without non-stress testing — 25% of everything it billed.
WILMINGTON, NC 28403
Next to other Maternal & Fetal Medicine Physician providers in North Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,599 | $631K | |
| 2019 | 10,990 | $794K | |
| 2020 | 12,787 | $819K | |
| 2021 | 7,533 | $372K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76819 | Fetal biophysical profile; without non-stress testing | 25% | 10,558 | 5,830 | $646K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 21% | 8,045 | 6,686 | $559K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 6,260 | 5,050 | $428K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 12% | 2,577 | 2,273 | $309K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 6.1% | 1,734 | 1,569 | $160K |
| 76818 | 4.1% | 1,316 | 855 | $108K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 964 | 797 | $84K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.0% | 684 | 583 | $80K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 511 | 476 | $53K |
| 76820 | 2.0% | 1,440 | 804 | $51K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 1,091 | 932 | $50K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 423 | 346 | $24K |
14 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 321 | $19K |
| 99243 | <1% | 133 | $10K | |
| 76801 | <1% | 89 | $7K | |
| 76813 | <1% | 93 | $6K | |
| 76825 | <1% | 42 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 189 | $5K |
| 96040 | <1% | 158 | $4K | |
| 99417 | Prolong home eval add 15m | <1% | 17 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,455 | $3K |
| 76827 | <1% | 42 | $2K | |
| 3074F | 0% | 847 | $0.00 | |
| 3079F | 0% | 168 | $0.00 | |
| 3075F | 0% | 38 | $0.00 | |
| 3078F | 0% | 714 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.